Erenzo 20 mg (Tablet)

Unit Price: ৳ 200.00 (1 x 10: ৳ 2,000.00)
Strip Price: ৳ 2,000.00

Medicine Details

Title

  • Erenzo
  • Roxadustat

Categories

  • Medications
  • Anemia Treatments
  • Pharmaceuticals

Description

  • First-in-class orally administered HIF-PH inhibitor
  • Promotes erythropoiesis through increasing endogenous production of erythropoietin
  • Improves iron regulation
  • Overcomes the EPO-suppressive effects of inflammation on hemoglobin synthesis and red blood cell production by downregulating hepcidin

Indications

  • Treatment of adult patients with symptomatic anemia associated with chronic kidney disease (CKD)

Pharmacology

  • Orally bioavailable
  • Hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI)
  • Binds to and inhibits HIF-PH
  • Prevents HIF breakdown and promotes HIF activity
  • Increases endogenous erythropoietin production
  • Reduces hepcidin expression
  • Improves iron availability
  • Boosts hemoglobin (Hb) levels

Dosage & Administration

  • Orally administered three times per week
  • Individualized dose to achieve and maintain target Hb levels of 10 to 12 g/dL
  • Different starting doses for patients not on erythropoiesis-stimulating agent treatment and for those switching from such agents
  • Dose adjustments based on Hb monitoring
  • Table for stepwise dose adjustments

Interaction

  • Potential drug-drug interactions with phosphate binders and other products containing multivalent cation, gemfibrozil, probenecid, OATP1B1, BCRP substrates
  • Recommendations for dose adjustments based on specific interactions

Side Effects

  • Common adverse reactions include hypertension, vascular access thrombosis, diarrhea, peripheral edema, hyperkalemia, and nausea

Pregnancy & Lactation

  • Contraindicated during pregnancy
  • Contradicted during breast-feeding

Precautions & Warnings

  • Caution in use, particularly in patients with pre-existing risk factors for thrombotic vascular events (TVEs), history of seizures, serious signs and symptoms of infection, or liver disorders
  • Not to be initiated in pregnant women

Use in Special Populations

  • Not indicated in children
  • Not recommended for use in patients with severe hepatic impairment

Overdose Effects

  • Symptoms of overdose include increased heart rate transient and likely excessive increase in hemoglobin concentration
  • Treatment involves appropriate measures of dose reduction or interruption

Therapeutic Class

  • Drugs for Haemolytic Hypoplastic & Renal Anemia

Storage Conditions

  • Store below 30°C, in a cool, dry place, away from light and moisture
  • Keep out of the reach of children

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